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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700361
Report Date: 09/19/2022
Date Signed: 10/18/2022 07:20:45 PM

Document Has Been Signed on 10/18/2022 07:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:GREG ROGERS STATE PRESCHOOLFACILITY NUMBER:
376700361
ADMINISTRATOR:JANETTE RIDGELSFACILITY TYPE:
850
ADDRESS:510 EAST NAPLES STREETTELEPHONE:
(619) 656-2082
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
09/19/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Aida BravoTIME COMPLETED:
12:50 PM
NARRATIVE
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This is an amended version of the report created on 9/19/22.
On 9/19/22 at 10:55am, Licensing Program Analyst (LPA), Martha Malane conducted a case management inspection regarding a self reported incident on 9/6/22 in which child 1 (C1) was released from care without supervision of an authorized person. Upon arrival, LPA met with Lead Teachers, Ireri Caro and Aida Bravo and was led on a tour of the facility. There were no children present as it was break time between the AM and PM sessions. The AM session operates 8:00am-11:00am and the PM session operates 12:00pm-3:00pm.

During the course of the incident investigation, interviews were conducted with staff and parent. The campus was toured and Lead Teacher, Ireri Caro led LPA through the area C1 walked without supervision. Based on information gathered, it was determined that on the day of the incident, 9/6/22, staff 1 (S1) and staff 2 (S2) released C1 from care without supervision of an authorized person. C1 walked through the preschool playground, out the gate, down the ramp and through the gate leading to parking lot. When C1 was exiting the gate to the parking lot their authorized repetitive arrived and observed C1 unsupervised. C1 currently attends the facility. See LIC809D for deficiency cited.

LPA, Martha Malane informed Lead Teacher, Aida Bravo, that this report dated 9/19/22 documents one (1) Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA, Martha Malane informed Lead Teacher, Aida Bravo to provide a copy of this licensing report dated 9/19/22 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview was conducted with Lead Teacher, Aida Bravo. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/19/2022 01:58 PM - It Cannot Be Edited


Created By: Martha Malane On 09/19/2022 at 11:43 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: GREG ROGERS STATE PRESCHOOL
FACILITY NUMBER: 376700361

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/19/2022
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time… Supervision shall include visual observation. This requirement was not met as evidenced by:
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On 9/7/22 facility staff change the sign out policies and now only release children with direct contact of authorized persons. A facility staff member now stands at the exit gate to ensure no children are not able to
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Based on interviews and observation the licensee failed to provide care and supervision by releasing C1 from care without the supervision of an unauthorized person which poses as an immediate risk to children in care.
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exit the facility without an authorized person.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Tulam Vu
LICENSING EVALUATOR NAME:Martha Malane
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2022


LIC809 (FAS) - (06/04)
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